NPI | 1043240757 |
---|---|
Former Name | RENEE S COMPTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003404A) |
Additional Taxonomies | 152W00000X Optometrist (Licence: KY 1678DT) |
Enumeration Date | 2006-07-05 |
Last Update Date | 2025-04-14 |